I've been on it for about 21 months as well as keto shampoo (which I started at least 6 months before fin....maybe longer than that). In the beginning I did notice a slight change in ejaculatory fluid (sorry for too much info), which seemed to resolve itself pretty quickly. I'm not positive it was from finasteride, but it definitely could have been my body going through a drug adjustment period.
As for starting at .25 and working up, I think this may reduce your risk of side effects. I don't think it's necessary for most men, but I also see nothing wrong with "tapering up" this way. If it makes you feel safer than starting at 1 mg or 1.25 mg, I would say go for it.
As for starting at .25 and working up, I think this may reduce your risk of side effects. I don't think it's necessary for most men, but I also see nothing wrong with "tapering up" this way. If it makes you feel safer than starting at 1 mg or 1.25 mg, I would say go for it.
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